Provider Demographics
NPI:1942441274
Name:NEALE, ESRA SEHER (CRNA)
Entity Type:Individual
Prefix:
First Name:ESRA
Middle Name:SEHER
Last Name:NEALE
Suffix:
Gender:F
Credentials:CRNA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 W END AVE
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-2616
Mailing Address - Country:US
Mailing Address - Phone:856-616-8494
Mailing Address - Fax:
Practice Address - Street 1:38 W END AVE
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-2616
Practice Address - Country:US
Practice Address - Phone:856-616-8494
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-17
Last Update Date:2013-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ26NR12895400163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ26NJ00268400OtherNJ APN LICENSE